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HIV2 & Testing

Jul 25, 2006

Hi Doc,

I was tested for HIV out to 18 months, three times, and all negative. I want to put these irrational fears to rest but I cannot. I am now afraid of HIV2 (with a white male from South Africa). One thing is on my mind. I have a small about the size of a dime rash-like thing on my upper leg. It has about four little pin-head bumps on it and I am afraid it is a sign of HIV2. Two questions: If testing for HIV1 out to 18 months, I have heard that these tets will detect HIV2 70% of the time. Is this true and what are my chances of three tests detecting HIV2? Second, this skin rash I am talking about.....does it sound like something associated with HIV? I have had it for 8 weeks now, put antibiotic gel on it, then tried anti-fungal stuff for over two weeks and it's not going away. It seems to change it's appearance a little, sometimes gets darker, especially if I am in the sun. Thank you so much. I have donated already and will do so again.

Response from Dr. Frascino


Regarding HIV-2, I do not believe you are at risk. As far as HIV-2 testing is concerned, some commercial labs now use combination EIA screening assays to detect HIV-1 and HIV-2 simultaneously, although this is not recommended by the CDC for routine screening. Of the FDA-approved rapid tests, OraQuick detects HIV-1 and HIV-2. Multispot also distinguished HIV-1 and HIV-2. Reveal G2 and Uni-Gold Recombigen are approved for detection of only HIV-1. I have no way of knowing what specific type of HIV tests you had performed.

Next, your "size-of-a-dime-rash-like thing" is not at all suggestive of or worrisome for HIV-1 or HIV-2. If it bothers you, go see a dermatologist. It is definitely not HIV related.

Thanks for your donation. Now stop worrying. HIV is not your problem.

Stay well.

Dr. Bob

worried sick and confused, need help!!!
medical student ....needs help....can't study......exams approaching

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